Hi Shellb, sorry to hear you're struggling a bit again. I'm more or less exactly the same as you i.e. just got over a breakdown with all the relevant medications and therapies but don't take HRT. I suffer terrible health anxiety to the point I became obsessed with how I felt all the time. I'm trying to stay as positive as I can, which isn't easy for me as I tend to be such a pessimist and the glass is always 'empty' never mind 'half empty'!! The only thing I am doing differently this time is really, really doing a lot of self-talk, affirmations and trying to do relaxation when I can. I've been re-reading Louise Hay's "You can heal your life" and taking quite a bit of positivity from that. Don't get me wrong, it's not easy and I fail some days but I am so determined not to go back to that awful pit of despair for a long, long time. I may get to the edge of it from time to time, but I feel I know enough at the moment to stop it spiralling out of control. Something happened at the end stages of the last spell that gave me a real wakeup call - just had had about enough and then got food poisoning one weekend and was literally making a fool out of myself with both family and a trip to a&e and something just snapped and I thought 'enough is enough', there's only me who can get me out of this, there was little support from family, my Mum was too old to cope with it this time and so I pulled myself up and just literally started to change my mindset a bit at a time and so far, it's helping hugely. I know I'm still a work in progress and that I was so depleted and down for 6 months that my body still isn't right even if my mind is. I'm struggling energy wise, feel like I'm walking through treacle most days, wish I didn't have to work as it's so exhausting even just sitting at a desk typing, but I am telling myself that it will start to get better soon and literally just taking each day for what it is. Not sure if you're into Mindfulness but being 'present' each day and giving thanks for what they day gives, however small, and passing off the difficult ones as 'gone' and moving to the next. It's the only way I can handle things at the moment.
At the end of the day, we are the only ones who can heal ourselves and I'm now convinced that it's literally just changing our mindset that does it, albeit alongside whatever medication is helping or can help. I've read all the books, seen all the different therapists, everything. It's just up to us.
I'm sorry for the ramble! I totally understand where you are coming from though. x